Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM WILEY BROCK, DMD
ActiveADAM WILEY BROCK, DMD is a Periodontology healthcare provider located in FORT GREGG ADAMS, Virginia. NPI 1184930653 is currently active in the NPPES registry. Verify at CMS.
Periodontology · FORT GREGG ADAMS, VA
Registration Details
- NPI Number
- 1184930653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2010 (16.002155444947 yrs)
- Last Updated
- May 24, 2023
- License
-
DS0382820 (PA)
Practice Information
- Address
-
700 24TH STFORT GREGG ADAMS, VA, 238011716Browse VA providers · Browse ZIP 23801
- Phone
- 8047349607
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.